BACKGROUND
In 2010, Bangladesh introduced midwifery cadres to address the shortage of trained staff in maternal health care. By July 2023, 2,557 midwives were posted at Upazila Health Complexes and Union Sub-Centers. A study was conducted with USAID funding to understand midwives' adaptation to their workplace, challenges, and changes in care.
This study used mixed method. The quantitative component involved testing midwives' knowledge, documenting their activities, and assessing their quality of care. The qualitative component involved interviews with policymakers, program managers, facility heads, and trainers to understand their adaptation challenges and suggestions.
OBJECTIVES
- To assess knowledge and confidence of midwives on maternity care
- To document the tasks performed by the midwives at their workplace
- To understand the ‘enabling environment’ of service provision of diploma midwives in their workplace
- To assess the quality of ante-partum and intra-partum care rendered by the midwives
- To document the barriers and challenges in implementation of the midwifery programme, including training need both from policy and programme perspective
STUDY AREA
8 districts
PARTNERS
- Directorate General of Health Services (DGHS)
- Directorate General of Nursing and Midwifery (DGNM)
STATUS
Completed
DATE OF RESULTS DISSEMINATION
2 August 2023
FOCAL PERSON
Dr Mahbub Elahi Chowdhury melahi@icddrb.org
RESOURCES
Research Brief: Adaptation of midwives in Upazila Health Complexes in Bangladesh